Individual
ALIDA N/A KENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6434 W 89TH ST APT 50, OVERLAND PARK, KS 66212-6095
(913) 406-6714
Mailing address
6434 W 89TH ST APT 50, OVERLAND PARK, KS 66212-6095
(913) 406-6714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
942450
TX
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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